Association Of Harmony Queens
Travel Fund Application
Chapter Name / Event Description
Zip/Postal Code E-mail Address: Tel. # ( )
Queens Quartet Requested
Approx. distance 1-way from Quartet Location to Event Location
Proposed method of travel (air, rail, auto, etc.)
Estimated TRAVEL (only) Cost U.S. Funds Cdn. Funds
Did your Chapter/Area use the Travel Fund last year? Yes No Year before? Yes No
Date of Event
Please send to current Association of Harmony Queens Travel Fund Chairman:
Association of Harmony Queens Travel Fund Chairman
4475 Line 9 N.
Coldwater, ON L0K 1E0
FOR ASSOCIATION OF HARMONY QUEENS USE ONLY
Eligibility Requirements Met Yes No
Maximum Grant Allowed $ U.S. Proposed Grant $ U.S.
Confirmed Actual TRAVEL Cost $ U.S. Date Rec'd
Date Payment Requested from Executive Treasurer
Amount of Payment $ U.S.
2/29/08 HAR 064